23D1071787 CLIA NUMBER - COMMERCE TOWNSHIP DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D1071787
  • Facility Name: COMMERCE TOWNSHIP DIALYSIS
  • Facility Address: 120 W COMMERCE ROAD
    COMMERCE TOWNSHIP, MI
    ZIP 48382
  • Facility Phone: 248 363-4862
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KIM MARGOLIS
  • NPI Number: 1497875819
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1071787
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COMMERCE TOWNSHIP DIALYSIS
Street 120 W COMMERCE ROAD
City COMMERCE TOWNSHIP
State MI
ZIP 48382
Phone 248 363-4862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2023
Certificate Expiration Date 7/31/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KIM MARGOLIS

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This page was last updated on: 3/20/2025